Prospective Student-Athlete Information Request Form

Want to play for a championship at Long Beach City College?

If you are interested in competing on any of LBCC's 18 athletic teams, please fill out the recruit form below. A member of the athletic department staff will contact you with more information.

Personal Information
First Name:
Last Name:
Phone Number:
Email Address:
Your Current Address (Street):
City:
State:
Zip Code:

High School Information
High School of Last Attendance:
Graduation Year:
City:
State:

Athletic Information
I am interested in the following sport(s). Please check boxes:	Baseball Men's Basketball Men's Cross Country Football Men's Soccer Men's Swimming & Diving Track & Field (Men) Men's Volleyball Men's Water Polo Women's Baksetball Women's Cross Country Women's Soccer Softball Women's Swimming & Diving Women's Tennis Track & Field (Women) Women's Volleyball Women's Water Polo
Please tell us about your athletic accomplishments in high school. Please lists your positions/events and statistics or best times and marks. Also list any postseason honors such as MVP, all-league, or league championships.

I hereby certify that I made the first contact with Long Beach City College and that I have chosen this college without prior contact by members of the staff or persons representing the college.	I agree with this statement

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Prospective Student-Athlete Information Request Form

Personal Information

High School Information

Athletic Information

I hereby certify that I made the first contact with Long Beach City College and that I have chosen this college without prior contact by members of the staff or persons representing the college.